Transcript Behavioral Health – Primary Care Integration: Odysset

Behavioral Health – Primary Care Integration
Odyssey House Overview
Established in 1971
Integrated System of Care
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Substance Use Disorder Treatment
Psychiatric and Mental Health Treatment
Primary Care
Populations
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Teens
Adults
Mothers with Dependent Children
Fathers with Dependent Children
Odyssey House Levels of Care
Dual Diagnosis Enhanced Modified Therapeutic
Communities spanning 14 facilities
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Residential (ASAM III.5, III.3, III.1)
PHP (II.5)
Intensive Outpatient (II.1)
Standard Outpatient (I.0)
Service Supported Housing (II.1, I.0)
Correctional Setting Treatment (II.5, I.0)
Medication Assisted Therapies
Therapeutic Day Treatment for Children (II.5)
Odyssey House Scope of Service
Behavioral Health Client Capacity
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Adult Residential: 116 Beds
Parents with Children Residential
• 23 Adult Parents
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35 Children
Adolescent Residential: 52 Beds
Outpatient: 300 Slots
Service Supported Housing: 75 Beds
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Correctional Services: 162 Beds
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Odyssey House Overview
2011 – Decided to add Primary Care Services
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To decrease ED use
Give access to patients who do not normally have
access to primary care
Over-prescription of opiates
Patient convenience
National data showing decreased lifespan for
chronically mentally ill due to chronic untreated
primary care issues
National data showing positive outcomes for
integrating primary care with behavioral health
Odyssey House Clinic Development
Clinic Startup:
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Contracted with Medical Director and PA
Consulted with Intermountain Healthcare
Consulted with AUCH
Visited and consulted with local clinics – Midtown,
Meliheh, 4th Street, Marillac Clinic (Co)
Remodel space
Panel with commercial insurance and Medicaid
ACOs
Substantial gift from the Martindale family
Odyssey House Martindale Clinic
Goals
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To provide a medical home for the behavioral health
population
Provide evidence based integrated care that improves
patient outcomes
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Reduction in incidents of chronic diseases
(diabetes, etc.)
Reduction in relapse
Reduction in recidivism
Reduction in lengths of stay
Reduction in mental illness symptoms
Reduction in psycho-somatic symptoms
Odyssey House Martindale Clinic
Patient Overview
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Present with significant deferred medical conditions
Chronic diseases as a result of their behavioral health
condition (diabetes, heart problems, etc.)
Have minimal history accessing medical care
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Typically use the ED as their primary care
provider
Have limited or no access to medications to treat
medical or behavioral conditions
Odyssey House Martindale Clinic
Clinical Overview
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New patient physicals
Acute care – Sprains, Infections, etc.
Chronic Care – High blood pressure, High
Cholesterol, Diabetes, etc.
Psychiatric Evaluation and Medication Management
Referral to behavioral health programming
Wellness – Smoking Cessation, Physical Activity
Education on appropriate accessing medical care
Odyssey House Martindale Clinic
Integration
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Addresses physical, mental health, and substance
abuse needs across the organization
A truly multi-disciplinary treatment team that is able
to provide universal holistic care:
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Medical informs behavioral health treatment
teams
Behavioral health treatment teams inform medical
team
Odyssey House Martindale Clinic
Outcomes
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Chronic disease management and prevention
Reduction in length of stay in higher levels of care
Increased use of medications
• To treat mental health conditions
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Medication Assisted Therapies for SUD
• Medical conditions
High patient satisfaction
Contact Information
Adam Cohen, CEO
Odyssey House
801-428-3449
[email protected]